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Presuming you are talking about acne...
Environmental, dietary, and hormonal factors are the main causes of "flare ups" in acne prone skin.
Smog and pollution deposit irritants into the skin, and while you are often able to wash these irritants away, sometimes, they become inflamed and cause pimples.
Greasy, fat heavy foods often contribute to poor skin. A simple dietary change is making sure you eat a lot of fibre, and get your Omega 3 fatty acids.
Hormones can also affect the production of oil in your skin- this is why Birth Control often assists in controlling acne.
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